namf
Forum Elite
Topics: 80
Posts: 312
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Hi prep4ers!
My latest question is about the physical diagnosis signs of the lungs.
I'm having some trouble recalling them. Can you correct this:
Fremitus-does it increase with fluids and masses, but decreases with?
egophany- e to a sign...when does it occur?
percussion to dullness/tympani--fluid/mass is dull?, excess air (pneumothorax, emphysema)tympanic??
I also remember there was some exception to the rules--something about a mass that grows all around the pleura of the lungs or something, resulting in decreased breath sounds...??
Thanks very much :o :o
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| mani
Forum Guru
Topics: 104
Posts: 1,403
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Egophony The sound of a patient's voice so modified as to resemble the bleating of a goat, heard on applying the ear to the chest in certain diseases within its cavity, as in pleurisy with effusion.
fremitus: decreases with fluid
persussion: u r rite
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| namf
Forum Elite
Topics: 80
Posts: 312
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Thanks mani,
Can anyone give some egophany examples please?
Thanks!
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| dariush
Forum Elite
Topics: 20
Posts: 356
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to sum up all what you said and abit more:
........................Solid(e.gTumor).....Fluid(e.g.Effusion)........Ga s(e.g. PTX)
Fremitus.................Inc......................Dec.................... .........Dec.
Percussion..............Dec.....................Dec...................... .......Inc.
Egophony.................+........................+...................... ...........-
(With egophony "E" becomes "A" when listening through a stethoscope.)
Namf, you mentioned there are exceptions to these, can you tell us if you remember?
Thanks alot.
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| namf
Forum Elite
Topics: 80
Posts: 312
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Dariush,
Thank you very much for putting in the work to make that clear table--it is great! No offense meant, but I am saying this on the assumption that what we have is correct, of course.
I am having trouble remembering the exception except to say it might have to do with that cancer that gets the lung pleura--this would insulate lung sounds, making fremitus decrease???? You see, I don't remember.
Anyone remember?
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